Revenue Cycle Optimized

A paid claim may look resolved, but payment does not always mean the reimbursement was correct. In this RCMinutes episode, we look at how underpayments, payer contract issues, missing modifiers, and incorrect adjustments can quietly drain revenue even when the claim technically gets paid.

Stuart Newsome shares his top takeaways from the KLAS K2 Summit on payer-provider collaboration, prior auth, interoperability, and AI—and what they mean for revenue cycle leaders working to reduce friction, prevent denials, and improve real-world workflows. Brought to you by www.infinx.com

In this episode of Revenue Cycle Optimized, David Byrd, SVP of Business Development at Infinx, and Carlie Richard from Maverick AI discuss how autonomous coding can improve speed, accuracy, and scalability in radiology revenue cycle operations. The conversation highlights a connected model where AI handles routine coding in seconds while certified human coders manage exceptions, audits, compliance...

Revenue cycle metrics can reveal far more than days in A/R, cash collections, or cost to collect. In this episode, Jon Vitiello, SVP & CFO at St. Luke’s Health, joins Stuart Newsome to discuss how CFOs interpret RCM signals, separate operational noise from financial risk, and use revenue cycle insight to guide strategy, investment, Medicare Advantage response, and patient access performance. B...

Health systems are under pressure from workforce shortages, rising denials, aging A/R, charge capture leakage, and revenue integrity gaps that are often hiding across both acute and ambulatory operations. In this RCMinutes episode, we preview the themes behind the Infinx Healthcare Revenue Cycle Thought Leadership Executive Forum in Chicago and explore why leaders need a more collaborative, enterp...

Denial management matters, but it often begins after revenue has already been delayed or put at risk. This RCMinutes episode explains why preventing revenue loss requires looking upstream, spotting patterns earlier, and fixing the process issues that create avoidable denials in the first place.

AI-enabled charge capture can reduce manual work, but the real value comes when technology and billing expertise work together to improve accuracy, speed, and claim quality. Brought to you by www.infinx.com

Charge capture issues often hide in plain sight, creating recurring revenue leakage across departments, payer contracts, documentation, and billing workflows. In this episode, Sean Dennehey and Jason Adams of Infinx discuss how a full claims review, clinical validation, reimbursement modeling, and long-term implementation support can help organizations uncover missed revenue and strengthen charge...

A/R follow-up often looks productive on the surface, but claim touches do not always lead to claim movement. In this RCMinutes episode, we look at why clear next actions matter, how vague follow-up creates rework, and how better workflow discipline can help teams move accounts toward resolution instead of just another note.

HFMA Annual will be full of vendors, platforms, consultants, AI tools, automation promises, and revenue cycle solutions. This pre-HFMA Office Hours panel will help healthcare finance and revenue cycle leaders think through the business problems driving this year’s conversations, the questions worth asking, and how to separate proven strategy from market noise. Brought to you by www.infinx.com

In this episode of Revenue Cycle Optimized , Christina Harkins, Director of Customer Success at Infinx, discusses how prior authorization workflows can be optimized through automation, custom queues, workflow discovery, and ongoing operational support. She explains how the right mix of AI, human oversight, reporting, and implementation planning can reduce manual work, prevent avoidable denials, an...

Aged A/R is often treated like one large problem, but every aging bucket tells a different story about collectability, payer behavior, and operational gaps. In this RCMinutes episode, we look at how smarter segmentation, AI-driven payment propensity, recoverable value, and workflow orchestration can help teams prioritize the accounts most likely to produce results.

The Rural Health Transformation Program brings $50 billion in federal funding to states over five years, but the real question is whether temporary funding can create lasting operational change. In this episode, Scott Cook, VP of Business Development at Infinx, joins Stuart Newsome to discuss what rural providers should understand about the program, the state-by-state variability, and the operatio...

In this episode of Revenue Cycle Optimized , JP, VP of RCM Operations, explains why A/R and denial management are often the clearest windows into upstream revenue cycle breakdowns. Drawing from an internal team discussion, he shares how data from denials, underpayments, payer behavior, modality mix, and contract variance can uncover hidden revenue leakage and guide smarter business decisions.

Clean claims are more than a submission goal — they are one of the strongest defenses against avoidable A/R. In this RCMinutes segment, we look at how better claim quality reduces downstream follow-up, prevents unnecessary delays, and gives revenue cycle teams more time to focus on the accounts that truly need attention.

Hospitals are facing a new revenue cycle reality shaped by margin pressure, workforce constraints, payer complexity, denials, underpayments, and fragmented workflows. In this episode, Peggy Kelly, Tim Anderson, and Jason Adams of Infinx will explore what acute-care leaders need to rethink as revenue cycle performance becomes a strategic priority, not just an operational function. Brought to you by...

Automation is changing patient access, but prior authorization still requires more than bots, portals, and percentage-based promises. In this episode, Lindsey Nelson, Product Marketing Director at Infinx, explores why agentic workflows, human expertise, clinical judgment, and operational visibility all matter when organizations are trying to reduce delays, avoid denials, and keep work moving.

A/R is familiar territory for revenue cycle leaders, but the way it is managed determines whether teams are simply tracking unpaid claims or actively moving them toward resolution. This RCMinutes episode reframes A/R as an operational discipline built around follow-up, prioritization, denials, underpayments, patient responsibility, and the decisions that protect cash flow.

Healthcare revenue cycle has relied on rules engines, manual workflows, and brittle automation for decades. In this episode, Monte Sandler, Chief Operating Officer at WebPT, joins Stuart Newsome to discuss why AI may finally give RCM teams a way to manage complexity more dynamically while keeping human expertise at the center. Brought to you by www.infinx.com

Prior authorization and eligibility verification remain too variable, payer-specific, and operationally complex to rely on automation alone. In this episode, David Byrd and Navaneeth Nair explain how Infinx Patient Access Plus orchestrates AI agents, automation, payer connectivity, analytics, and human expertise to reduce administrative burden and keep care moving.

This RCMinutes segment reframes prior authorization as more than a portal or paperwork problem — it is a data problem that affects access, scheduling, patient trust, and revenue. The episode explores why clean data, intelligent automation, and human oversight are essential to moving from reactive authorization chasing to proactive access management.

Same-day cancellations, delayed procedures, and scheduling disruption can create major strain for orthopedic practices. In this Office Hours Takeover, Lora Pada, VP of Customer Success at Infinx, speaks with Danelle Newman, Director of Patient Access at OSS Health, about the role prior authorization workflows play in keeping schedules moving, reducing preventable delays, and giving patient access...

Revenue cycle teams are often judged by how fast they react to problems, but the real opportunity is catching issues before they become urgent. This RCMinutes segment explores how better signals, cleaner prioritization, and smarter workflows can help teams move from constant firefighting to more predictable performance.

AI is changing more than speed and efficiency. It is changing who gets to contribute. In this Office Hours roundtable, the panel explores how everyday users are using AI to shape work, solve problems, and support better decisions in ways that matter for revenue cycle leaders.

Scott Cook, VP of Business Development for Acute Care at Infinx, explains how charge capture assessments can help hospitals identify missed revenue opportunities while strengthening documentation, education, and operational consistency. He also discusses why data alone is not enough, and how combining analytics with staff conversations can uncover practical improvements across departments like sur...